caa a22 4500 606185399 CHVBK 20210128100831.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-014-3279-9 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3279-9 Velopharyngeal function after free thoracodorsal artery perforator flap in lateral and superior oropharyngeal cancer [Elektronische Daten] [Christine Bach, I. Wagner, J. Pigot, A. Guth, Y. Denoux, F. Chabolle] The purpose of this study was to report our experience with the free thoracodorsal artery perforator flap for reconstruction of the oropharynx and soft palate in head and neck cancer using a retrospective review of the medical charts of all patients undergoing oropharyngeal reconstruction by free thoracodorsal artery perforator flap during the same procedure as cancer resection between January 2011 and April 2013. Evaluation of speech, feeding and the presence of nasal emissions was performed 6months after treatment in accordance with the Declaration of Helsinki. Nine patients were evaluated. Clear understanding of the patient was reported by the family and the examiner for seven patients, while understanding difficulties were reported for two patients (1 case of flap dehiscence and 1 technical error of flap fixation). The results indicated that, due to its complex anatomy and function, reconstruction of the soft palate remains a delicate procedure. The free thoracodorsal artery perforator flap allows functional soft palate reconstruction, while limiting donor site morbidity. Springer-Verlag Berlin Heidelberg, 2014 Thoracodorsal artery perforator flap nationallicence Oropharyngeal cancer nationallicence Squamous cell carcinoma nationallicence Velopharyngeal function nationallicence Reconstruction nationallicence Bach Christine Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut Wagner I. Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut Pigot J. Hôpital Foch, Service de Stomatologie, 92150, Suresnes, France aut Guth A. Hôpital Foch, Service de Radiologie, 92150, Suresnes, France aut Denoux Y. Hôpital Foch, Service d'Anatomo-pathologie, 92150, Suresnes, France aut Chabolle F. Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3019-3026 0937-4477 272:10<3019 2015 272 405 https://doi.org/10.1007/s00405-014-3279-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3279-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bach Christine Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut NATIONALLICENCE 700 1- Wagner I. Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut NATIONALLICENCE 700 1- Pigot J. Hôpital Foch, Service de Stomatologie, 92150, Suresnes, France aut NATIONALLICENCE 700 1- Guth A. Hôpital Foch, Service de Radiologie, 92150, Suresnes, France aut NATIONALLICENCE 700 1- Denoux Y. Hôpital Foch, Service d'Anatomo-pathologie, 92150, Suresnes, France aut NATIONALLICENCE 700 1- Chabolle F. Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, 40 rue Worth, 92150, Suresnes, France aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3019-3026 0937-4477 272:10<3019 2015 272 405